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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2023年10期

页码:

131-134

栏目:

出版日期:

2023-10-10

文章信息/Info

Title:

Comparative Analysis of the Effect and Aesthetics of All Porcelain Micro-veneer and Minimally Invasive Ultra-thin Veneer in Repairing Anterior Tooth Deformity

文章编号:

1008-6455（2023）10-0131-04

作者:

蔚 颖; 叶 巍

(南京医科大学附属明基医院口腔科 江苏 南京 210019 )

Author(s):

YU Ying; YE Wei

(Department of Stomatology,BenQ Medical Center,the Affi liated BenQ Hospital of Nanjing Medical University,Nanjing 210019,Jiangsu,China)

关键词:

前牙畸形; 全瓷微贴面; 微创超薄贴面; 美学效果; 并发症; 满意度

Keywords:

anterior tooth deformity;  all-porcelain micro-veneer;  minimally invasive ultra-thin veneer;  aesthetic effect;  complications;  satisfaction degree

分类号:

R783.5

DOI:

10.15909/j.cnki.cn61-1347/r.005931

文献标志码:

A

摘要:

目的：比较分析全瓷微贴面与微创超薄贴面修复前牙畸形的美学效果、并发症及满意度等情况。方法：选取2020年1 月-2021年1月在笔者医院就诊并接受治疗的96例前牙畸形患者，按照修复手段的不同分为全瓷微贴面组及微创超薄贴面组， 每组48例。所有患者均在修复后1年随访，应用改良美国公共卫生署评价标准（USPHS）对两组患者畸形牙修复效果进行评 估，对比两组患者治疗1年后骨密度水平、新骨轮廓、牙槽骨垂直吸收量情况，应用视觉模拟评分法（VAS）对患者美学修复 满意度进行评价，对比两组修复成功率及并发症发生情况。结果：治疗后1年，两组USPHS评分达标情况包括修复体完整 情况、颜色、边缘密合度、边缘着色及半透明性等比较，差异均无统计学意义（P＞0.05）；治疗后1年，两组患者骨 密度、新骨轮廓、牙槽骨垂直吸收量比较，差异均无统计学意义（P＞0.05）；全瓷微贴面组临床总满意度低于微创超 薄贴面组，两组修复成功率比较差异均无统计学意义（P＞0.05）；全瓷微贴面组并发症总发生率明显低于微创超薄贴面组 （P＜0.05）。结论：全瓷微贴面与微创超薄贴面修复前牙畸形，两种修复成功率均较为良好，但全瓷微贴面技术能够有效 降低患者并发症发生率，但具有着色、崩瓷等劣势；微创超薄贴面技术能够有效提高患牙美观度，但并发症发生风险较高； 后续临床应结合患者实际情况及需求选择科学、合适的修复手段。

Abstract:

Objective To investigate the aesthetic results, complications, and satisfaction of all-ceramic micro veneers versus minimally invasive ultra-thin veneers for patients with anterior malocclusion. Methods Patients with anterior malocclusion who were seen and treated at author’s hospital between January 2020 and January 2021 were selected to establish an allceramic micro-veneer group and a minimally invasive ultra-thin veneer group according to the restorative means, with 48 cases in each group. All patients were followed up one year after the restoration, including the application of the modifi ed USPHS evaluation criteria to assess the restorative eff ect of the malocclusion in both groups, comparison of the bone density level, new bone contour, and vertical resorption of alveolar bone in both groups after 1 year of treatment, and the application of the visual analog scale (VAS) to evaluate the satisfaction of the patients with the aesthetic restoration. The restorative success rate and the occurrence of complications were compared between the two groups. Results No statistically signifi cant diff erences were found in the comparison of the two groups’ USPHS score attainment including restoration integrity, color, marginal closeness, marginal staining and translucency at 1 year after surgery (P ＞0.05); by comparing the two groups’ USPHS score attainment at 1 year after surgery, it can be found that the data diff erences between the two groups were not signifi cant and not statistically signifi cant (P ＞0.05); the comparison of the two groups’ patient treatment There was no signifi cant statistical diff erence in bone density, new bone contour, and vertical resorption of alveolar bone between the two groups at 1 year after treatment ( P ＞0.05); the total clinical satisfaction rate in the all-ceramic micro veneer group was lower than that in the minimally invasive ultra-thin veneer group, but there was no signifi cant statistical diff erence in the data comparison (P ＞0.05); no signifi cant statistical diff erence in the restoration success rate between the two groups (P ＞0.05); the total complication rate in the all-ceramic micro veneer group signifi cantly decreased than that in the minimally invasive ultrathin veneer group (P ＞0.05). The total complication rate of the all-ceramic micro veneer group signifi cantly decreased than that of the minimally invasive ultra-thin veneer group (P ＜0.05). Conclusion There is no signifi cant diff erence between all-ceramic micro veneers and minimally invasive ultra-thin veneers for patients with anterior malocclusion. Patients with anterior malocclusion can take all-ceramic micro veneers or minimally invasive ultra-thin veneers, both of which have good restorative success rates, but all-ceramic micro veneers can eff ectively reduce the risk of complications for patients, but have disadvantages such as staining and chipping. Minimally invasive ultra-thin veneers can eff ectively improve the aesthetics of the aff ected teeth, but have a higher risk of complications; subsequent clinics should choose a scientifi c and appropriate restorative means by combining the actual situation and needs of patients.

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更新日期/Last Update: 2023-11-13